EDWARD THEODORE JR. WASHINGTON – Glaucoma Specialist (Ophthalmology) Physician, NPI 1104211283

EDWARD THEODORE JR. WASHINGTON is a healthcare provider. based in Louisville, Kentucky. specializing in Glaucoma Specialist (Ophthalmology) Physician. They hold a License No. 312393 (LA). The NPI Number for EDWARD THEODORE JR. WASHINGTON is 1104211283

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD THEODORE JR. WASHINGTON
NPI
1104211283
Phone
(502) 588-0325
Address
PO BOX 909
Enumeration Date
5 April 2015
Last Update Date
30 August 2023

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
5048423000
Graduation Year
2015 (11 years ago)
PAC ID
4789970369
Group Practice PAC ID
8224933619
Professional Enrollment ID
I20190819003812
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:11State licenses:4Digital endpointsOther names

Provider Addresses for EDWARD THEODORE JR. WASHINGTON

  • PO BOX 909

    LOUISVILLE, KY 402010909

    Phone: (502) 588-0325

    Type: Mailing

  • 1514 JEFFERSON HWY

    NEW ORLEANS, LA 70121

    Phone: (504) 842-3995

    Fax: (504) 842-2292

    Type: Location

  • 4045 WETHERBURN WAY STE 1

    NORCROSS, GA 300924611

    Phone: (770) 285-7010

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $346.

Total Amount is formed as General ($346) + Research ($0) + Ownership ($0) = $346.

Last reported payment date: 2023-11-14 • Largest payer in this snapshot: Alcon Vision LLC ($184).

Total Amount

$346

General + Research + Ownership

Payments

4

Total payment records

General Amount

$346

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220802001847IOphthalmologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes144127$0
99212Established patient office or other outpatient visit, 10-19 minutes5348$0
92133Imaging of optic nerve3838$0
92083Exam of visual field with extended testing3535$0
99214Established patient office or other outpatient visit, 30-39 minutes3027$0
View full utilization report →

Insurance plans in this area (ZIP 40201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224933619View full group profile
NameSpecialtyState
-LA
O P T O M E T R YLA
Cardiovascular Disease (Cardiology), Internal MedicinePA
-LA
N E U R O L O G YLA
Nurse PractitionerLA
Family PracticeCO
Nurse PractitionerLA
U R O L O G YLA
N E U R O L O G YLA

Reviews

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Frequently asked questions

Is there an official ID for EDWARD THEODORE JR. WASHINGTON in U.S. healthcare records?
The official identifier for EDWARD THEODORE JR. WASHINGTON is NPI 1104211283.
Is there an active status for EDWARD THEODORE JR. WASHINGTON?
For scheduling context, EDWARD THEODORE JR. WASHINGTON is shown as active in the registry.
How would a patient describe EDWARD THEODORE JR. WASHINGTON's focus?
For EDWARD THEODORE JR. WASHINGTON, the primary taxonomy reads as Glaucoma Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for EDWARD THEODORE JR. WASHINGTON?
Travel planning: use Louisville, Kentucky as the reference point for EDWARD THEODORE JR. WASHINGTON, then confirm.
Can I trust this NPI listing for EDWARD THEODORE JR. WASHINGTON?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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